JJ KIM DENTAL CORPORATION

NPI: 1043910110 · ANAHEIM, CA 92804 · Dental Clinic/Center · NPI assigned 03/07/2023

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official KIM, JAMES controls 11+ related entities in our dataset. Read more

$89K

Total Medicaid Paid

2,849

Total Claims

2,381

Beneficiaries

Codes Billed

2023-05

First Month

2024-10

Last Month

Provider Details

Authorized Official	KIM, JAMES (PRESIDENT)
NPI Enumeration Date	03/07/2023

Other providers sharing the same authorized official: KIM, JAMES

Provider	City	State	Total Paid
JAMES MYUNG JU KIM DDS INC	SAN BERNARDINO	CA	$15.91M
JAMES J KIM MD INC	LOS ANGELES	CA	$1.74M
SAN DIEGO HEART CENTER, A MEDICAL CORPORATION	NATIONAL CITY	CA	$1.68M
BURKE REST HOME INC	MORGANTON	NC	$1.25M
INDIANA RETINA CENTER LLC	FORT WAYNE	IN	$832K
KIMTRE CORP.	FORT LEE	NJ	$554K
OPTOID PRINT3D EYEWEAR LLC	BROOKLYN	NY	$448K
JAMES Y KIM D.D.S INC	HACIENDA HEIGHTS	CA	$44K
BELLINGHAM BAY OPHTHALMOLOGY PLLC	BELLINGHAM	WA	$23K
JAMES KIM MD PC	REIDSVILLE	NC	$5K
CAPITAL PAIN CONSULTANTS, INC.	SACRAMENTO	CA	$453.95

Year	Claims	Total Paid
2023	1,042	$41K
2024	1,807	$48K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	331	331	$22K
D0210	Intraoral - complete series of radiographic images	318	318	$15K
D9430		315	312	$10K
D1120	Prophylaxis - child	137	137	$7K
D1110	Prophylaxis - adult	76	76	$7K
D1351	Sealant - per tooth	139	25	$5K
D0120	Periodic oral evaluation - established patient	48	48	$5K
D0330	Panoramic radiographic image	147	146	$4K
D1208	Topical application of fluoride, excluding varnish	272	272	$4K
D1320		146	146	$3K
D0220	Intraoral - periapical first radiographic image	173	169	$2K
D0230	Intraoral - periapical each additional radiographic image	500	272	$2K
D0350		188	70	$2K
D0274	Bitewings - four radiographic images	59	59	$1K